Browsing by Author "Adak, B."

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Cardiac Tamponade During Methotrexate Treatment in a Patient With Rheumatoid Arthritis; Is It Due To Viral Infection, Rheumatoid Arthritis or Methotrexate Therapy?: Case Report
(2003) Adak, B.; Ediz, L.; Budancamanak, M.; Demirel, A.
Here we describe a Rheumatoid Arthritis (RA) patient who died due to cardiac tamponade during methotrexate (Mtx) treatment while her synovitis remained inactive. Mtx is an effective therapy for articular and extraarticular manifestations of RA and currently most widely used disease modifying antirheumatic drug (DMARD). However Mtx on occasion may play a role in facilitating the development of the extra-articular manifestations of RA in some rare cases. In this case report, the causes of cardiac tamponade in patients with RA during Mtx therapy and the efficacy of Mtx on the life expectancy in patients with RA discussed by review the literature.
Effects of Intra-Articular Injections of Sodium Hyaluronate (Orthovisc) and Betamethasone on Osteoarthritis of the Knee
(1998) Tekeoglu, I.; Adak, B.; Goksoy, T.; Tosun, N.
The purpose of this study was to compare the efficacy and tolerability of intra-articular injections of 20 mg of Sodium Hyaluronate and 3 mg- betamethasone in an open randomized trial. 40 patients with gonarthritis were randomly allocated in 2 different groups of 20 people. All subjects included in the groups were female with mean age of 57.84 57.84±5.66 and 58.26±6.05 years. Intra-articular injections were administered once a week for three weeks. All patients suffering from inflammatory knee osteoarthritis were examined prior to and after the study. Efficacy rates of the two treatment methods during subsequent examinations in the 3(rd) and 15(th) weeks were noted. WOMAC assessment, Visual Analogue Scale, clinical severity and radiological severity according to Kellgren Lawrance index were also assessed in both groups. Both medications were well tolerated with no complications. Results in the 3(rd) week were in favour of betamethasone group. However there were clinically significant difference in favour of Sodium Hyaluronate (Orhovisc) treatment group on the 15(th) week. According to results of 15 week follow-up study comparing the efficacy and tolerability rates between Sodium Hyaluronate and Betamethasone, Hyaluronate injection could be more effective in osteoarthritis on the long term basis.
Investigation Into the Possibilities of Using Ear Acupressure for Increasing the Pain Threshold During Athletic Training
(1998) Tekeoglu, I.; Adak, B.; Ercan, M.
In order to investigate the possibilities for increasing the pain threshold of athletes, 60 healthy volunteers were divided equally into a test and a placebo group. Pressure sensitivity on the dorsal surface of the toe was measured with an algometer before and after manual stimulation of the 'ear' point in the test group and before and after mock stimulation in the placebo group. Results showed a statistically significant (P<0.05) increase in the pain threshold in the test group. These results suggest possible applications of ear acupressure in athletic training, especially in the prophylactic treatment of the minor aches and pains associated with the struggle for higher performance.
Lumbosacral Angle in Lowback Pain
(1996) Tekeoglu, I.; Adak, B.; Bozkurt, M.; Kara, M.; Aydinhoglu, A.
Fifty patients with low back pain were evaluated for a possible relationship between the increase of lumbar lordosis (Ferguson's angle) and a group of chronic low back pain disorders such us fibromyalgias, lumbar disc degeneration, lumbar disc bulging, lumbar arthrosis and pain due to segmental instabilite. Another group consisted of thirty-eight healthy subjects who has never claimed previous backpain history were undergone spinal x-ray as a control group. The angle between a line parallel to the cranial end plate of S 1 vertebrae and a horizontal line was defined for the Ferguson's angle. In both groups patients were 30 years old or over. We also measured spinal instability in both groups by a vertical line from the middle of the corpus of L 3 vertebrae. The results showed that in the low back pain group there was a statistically significant increase in the Ferguson's angle and 62% of this group had spinal instability. In the control group the Ferguson's angle was in normal range and only 4% of them had spinal instability.
Rheumatic Findings in Hyperparathyroidism. a Case Report
(1996) Adak, B.; Tuncer, I.; Tekeoglu, I.
Hyperparathyroidism is a general term indicating an increased level of parathyroid hormone in the blood. The condition is generally divided into three types: primary, secondary, and tertiary. A number of rheumatic findings are associated with parathyroid hormone excess. In this study a case is presented of a woman with primary hyperparathyroidism and its rheumatic manifestations due to an intrathymic parathyroid adenoma.
Sleep Quality and Pain Threshold in Patients With Fibromyalgia
(W.B. Saunders, 1999) Aǧargün, M.Y.; Tekeoǧlu, I.; Güneş, A.; Adak, B.; Kara, H.; Ercan, M.
The purpose of the study was to examine the association between the subjective sleep quality and pain threshold in fibromyalgia. Sixteen patients with fibromyalgia were included in the study. The pain threshold was determined using a manual algometer. The Pittsburgh Sleep Quality index (PSQI) was used to assess sleep quality. The pain threshold was negatively correlated with the scores for subjective sleep quality, habitual sleep efficiency, and sleep disturbance and the PSQI global score. We conclude that there is a negative correlation between pain and sleep disturbance: increased pain sensitivity is associated with greater sleep disturbance.
Suppression of Experimental Pain by Auriculopressure
(BMJ Publishing Group, 1996) Tekeoglu, I.; Adak, B.; Ercan, M.
In a controlled trial at a University Clinic of Physical Therapy and Rehabilitation, healthy student volunteers were given auriculopressure to investigate its analgesic effect. There were two study groups, each containing 30 volunteers. The first group was given auriculopressure to the toe somatic point on the ear, with pressure sensitivity being measured on the skin of the toe with an algometer device before and after ear stimulation. The control group had the same measurements with placebo stimulation to the ear. In the auriculopressure group the increase in pain threshold was statistically significant. In the placebo control group there was no significant change. These results suggest that auriculopressure could be a useful method for suppression of post-traumatic somatic pain.